Kristy Finnegan, CRNA
Certified Registered Nurse Anesthetist · Houston, TX 77030 · NPI 1205146313 · 1 payer file
78%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Kristy Finnegan, CRNA $75.05 for a 99213 — Office visit, established patient, low complexity. Medicare pays $96.33 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare. The file lists 20 contract rows for this clinician and code, from $65.49 to $247.56; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 99213Office visit, established patient, low complexity | Aetna — Texas (office visit and psychotherapy codes only) | $75.05median of 20 rows · $65.49–$247.56 | $96.33 | 78% | above 26% of 816 Houston certified registered nurse anesthetists on this plan |
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $106.05median of 20 rows · $93.57–$321.44 | $137.41 | 77% | above 44% of 612 Houston certified registered nurse anesthetists on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston certified registered nurse anesthetists, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $87.02median of 12 rows · $76.79–$102.38 | $82.68 | 105% | not typically billed by certified registered nurse anesthetists |
| 90838Psychotherapy, 60 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $122.91median of 24 rows · $108.45–$144.60 | $138.62 | 89% | not typically billed by certified registered nurse anesthetists |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Kristy Finnegan, CRNA performs these services, and they are kept out of the benchmark above.